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ACThome2026-03-10

Inquest into the death of [Redacted] Williams

Female·sodium nitrite poisoning

A 70-year-old school teacher and community advocate with motor neuron disease (MND) died by sodium nitrite ingestion on 27 April 2023. She had explicitly expressed wishes to end her life and explored available options. P…

palliative carepsychiatrysodium nitrite
VIChospital2025-08-20

Finding into death of Christine Klofa

47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection

Christine Klofa, a 47-year-old woman with Down syndrome and multiple comorbidities, died from mycoplasma pneumonia secondary to rhinovirus infection. She presented to her GP on 6 June with upper respiratory symptoms and …

general practiceemergency medicineamoxicillin
WAhospitalJuly 2023

Inquest into the Death of Lincoln Arthur CAMPBELL

52y · Male·end-stage throat cancer

Lincoln Campbell, a 52-year-old Aboriginal man with terminal throat cancer, disappeared from Kununurra Hospital on 24 December 2005 while receiving palliative care. He had a PEG feeding tube, required regular morphine an…

oncologypalliative caremorphine
VIChospital2020-01-30

Finding into death of Ward Harker

93y · Male·Multisystem failure complicating sepsis secondary to perforated viscus

Ward Harker, 93 years old, died in the Alfred Hospital on 1 December 2015 from multisystem failure complicating sepsis following a perforated bowel. He was receiving palliative care. His grandson, Angus Tye, told nursing…

palliative careemergency medicinecommunicationsystemmorphine
SAhospital2018-03-29

Coroner's Finding: BLACK Colin Dean

85y · Male·Pneumonia on a background of end stage Alzheimer's disease

Colin Dean Black, aged 85, died from pneumonia on a background of end-stage Alzheimer's disease at Repatriation General Hospital. He was admitted with agitated behaviour requiring mental health detention orders. His clin…

geriatric medicinepsychiatrymorphine
SAhospital2016-08-04

Coroner's Finding: CAILES Kevin Arnold

53y · Male·sepsis due to spontaneous bacterial peritonitis on a background of end stage liv…

Kevin Arnold Cailes, 53, died from sepsis due to spontaneous bacterial peritonitis on a background of end-stage liver failure. He had cirrhosis diagnosed in 2011 with alcoholism as the likely cause, and despite repeated …

hepatologyinfectious diseasesdiuretics
NThospital2012-03-28

Inquest into the death of Master F

17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy

A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medications (Baclofen and Ga…

general surgerypaediatricsmedicationbaclofen
QLDhospital2005-10-06

Fernandez, Adam Anthony

33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed

Adam Anthony Fernandez, aged 33, died from aspiration of food contents while acutely intoxicated (blood alcohol 0.276%) following police attendance at his home on 4 December 2001. After police used capsicum spray to safe…

emergency medicineanaesthesiasedatives
SAhospital2004-06-25

Coroner's Finding: HYNES Centella Theresa

50y · Female·respiratory arrest on a background of left lower lobe pneumonia in a person with…

Centella Theresa Hynes, a 50-year-old woman with schizoaffective disorder, intellectual disability, and primary pulmonary hypertension, died from respiratory arrest due to left lower lobe pneumonia while detained under m…

psychiatrycardiologywarfarin

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